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TESTBANK FOR ATI RN MATERNAL NEWBORN
PROCTORED EXAM LATEST UPDATED 36
VERSIONS WITH 100% CORRECT AND VERIFIED
ANSWERS Graded A+ Guaranteed A+
A nurse is caring for a client who is at 32 wks gestation and is experiencing preterm labor. What meds
should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
- Correct Answer-b. betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the nurse how
the provider will confirm her pregnancy. The nurse should inform the client that what lab test will be used
to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
- Correct Answer-a. urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant. What finding should the nurse identify as
a positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
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d. positive pregnancy test
- Correct Answer-a. palpable fetal movement
A nurse is providing teaching about the rubella immunization to a client who is 24 hours postpartum.
Which of the following client statements indicates an understanding of the teaching?
- Correct Answer-C. I should be careful to avoid becoming pregnant within the next month.
C. While the chances of fertility in the first 4 weeks postpartum are low, clients who receive a rubella
immunization must be additionally careful to avoid pregnancy either through maintaining abstinence or
through using an effective contraceptive. The rubella vaccine is a live virus vaccine and can cause birth
defects.
A nurse is providing teaching about rubella immunization to a client who is 24 hours postpartum. Which
of the following client statement indicates an understanding of the teaching?
- Correct Answer-C. I should be careful to avoid becoming pregnant within the next month
Why:
While the chance of fertility in the first 4 weeks postpartum are low, clients who receive a rubella
immunization must be additionally careful to avoid pregnancy either through maintaining abstinence or
through using an effective contraceptive. The rubella vaccine is a live virus vaccine and can cause birth
defects.
A nurse is teaching a client who is in labor about the use of nitrous oxide analgesia for pain control. Which
of the following statements by the client indicates an understanding of the teaching?
- Correct Answer-C. I will feel the effects of the nitrous oxide almost immediately
The effects of nitrous oxide are felt within 1 minute of inhalation.
A nurse is assessing a client who is 20 weeks gestation and reports frequent episodes of indigestion and
heartburn. Which of the following instructions should the nurse give to the client? - Correct Answer-B.
Decrease your intake of spicy foods
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Spicy foods cause gastric irritation, which may increase during pregnancy as a result of various
physiological changes
A nurse is assessing a client who is receiving morphine via a patient controlled analgesia (PCA) pump
following a cesarean birth. Which of the following findings should the nurse report the the provider?
- Correct Answer-D. Urine output 20 mL/hr
Opioid analgesics such as morphine can cause urinary retention. The client should have a urinary output
of at least 30 mL/hr. The nurse should report this finding to the provider.
A nurse is caring for a client who is at 39 weeks gestation and shows manifestations of labor. Which of the
following findings will alert the nurse that the client is in true labor?
- Correct Answer-D. Changes in cervical dilation or effacement
Cervical changes are a sign of true labor
A nurse is calculating a pregnant client's estimated date of delivery using Naegele's rule. The client's last
menstrual period started on January 20. Which of the following is the client's expected date of delivery?
- Correct Answer-C. October 27
Naegele's rule involves subtracting 3 months from the first day of the last menstrual period and adding 7
days.
A nurse at a clinic is preparing to teach the process of involution to a group of antenatal clients. Which of
the following information should the nurse provide?
- Correct Answer-D. The fundus is not palpable abdominally at 2 weeks postpartum.
Involution is the return of the uterus to its normal pre-pregnancy state, which occurs after the delivery of
the placenta. By the end of the third stage of labor, the fundus is 2 cm below the umbilicus. With
12vhours after delivery, the fundus rises 1 cm above the umbilicus. The fundus descends 1 to 2 cm every
24 hours. The fundus is not palpable after the sixth postpartum day.
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A nurse is providing teaching about formula feeding to the guardian of a newborn. Which of the following
pieces of information should the nurse include?
- Correct Answer-B. Mix 1 scoop of powdered formula with 2 oz water.
The guardian should use sterile water or water that has been boiled for 2 minutes when mixing powdered
formula. The guardian should mix 1 scoop in 2 oz water.
A nurse is teaching a client who is breastfeeding about strategies for preventing mastitis. Which of the
following instructions should the nurse include?
- Correct Answer-D. Use your finger to release suction after feeding.
Releasing the newborn's grasp on the nipple with a finger before removing the newborn from the breast
helps prevent injury to the nipple's, which can led to mastitis.
A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
- Correct Answer-a. renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvic fracture due to blunt
abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
- Correct Answer-a. uterine contractions
TESTBANK FOR ATI RN MATERNAL NEWBORN
PROCTORED EXAM LATEST UPDATED 36
VERSIONS WITH 100% CORRECT AND VERIFIED
ANSWERS Graded A+ Guaranteed A+
A nurse is caring for a client who is at 32 wks gestation and is experiencing preterm labor. What meds
should the nurse plan to administer?
a. misoprostol
b. betamethasone
c. poractant alfa
d. methylergonovine
- Correct Answer-b. betamethasone
A nurse at a prenatal clinic is caring for a client who suspects she may be pregnant and asks the nurse how
the provider will confirm her pregnancy. The nurse should inform the client that what lab test will be used
to confirm her pregnancy?
a. urine test for presence of HCG
b. urine test for the presence of HCS
c. blood test for presence of estrogen
d. blood test for the amount of circulating progesterone
- Correct Answer-a. urine test for presence of HCG
A nurse is caring for a client who believes she may be pregnant. What finding should the nurse identify as
a positive sign of pregnancy?
a. palpable fetal movement
b. amenorrhea
c. chadwick's sign
,2|Page
d. positive pregnancy test
- Correct Answer-a. palpable fetal movement
A nurse is providing teaching about the rubella immunization to a client who is 24 hours postpartum.
Which of the following client statements indicates an understanding of the teaching?
- Correct Answer-C. I should be careful to avoid becoming pregnant within the next month.
C. While the chances of fertility in the first 4 weeks postpartum are low, clients who receive a rubella
immunization must be additionally careful to avoid pregnancy either through maintaining abstinence or
through using an effective contraceptive. The rubella vaccine is a live virus vaccine and can cause birth
defects.
A nurse is providing teaching about rubella immunization to a client who is 24 hours postpartum. Which
of the following client statement indicates an understanding of the teaching?
- Correct Answer-C. I should be careful to avoid becoming pregnant within the next month
Why:
While the chance of fertility in the first 4 weeks postpartum are low, clients who receive a rubella
immunization must be additionally careful to avoid pregnancy either through maintaining abstinence or
through using an effective contraceptive. The rubella vaccine is a live virus vaccine and can cause birth
defects.
A nurse is teaching a client who is in labor about the use of nitrous oxide analgesia for pain control. Which
of the following statements by the client indicates an understanding of the teaching?
- Correct Answer-C. I will feel the effects of the nitrous oxide almost immediately
The effects of nitrous oxide are felt within 1 minute of inhalation.
A nurse is assessing a client who is 20 weeks gestation and reports frequent episodes of indigestion and
heartburn. Which of the following instructions should the nurse give to the client? - Correct Answer-B.
Decrease your intake of spicy foods
,3|Page
Spicy foods cause gastric irritation, which may increase during pregnancy as a result of various
physiological changes
A nurse is assessing a client who is receiving morphine via a patient controlled analgesia (PCA) pump
following a cesarean birth. Which of the following findings should the nurse report the the provider?
- Correct Answer-D. Urine output 20 mL/hr
Opioid analgesics such as morphine can cause urinary retention. The client should have a urinary output
of at least 30 mL/hr. The nurse should report this finding to the provider.
A nurse is caring for a client who is at 39 weeks gestation and shows manifestations of labor. Which of the
following findings will alert the nurse that the client is in true labor?
- Correct Answer-D. Changes in cervical dilation or effacement
Cervical changes are a sign of true labor
A nurse is calculating a pregnant client's estimated date of delivery using Naegele's rule. The client's last
menstrual period started on January 20. Which of the following is the client's expected date of delivery?
- Correct Answer-C. October 27
Naegele's rule involves subtracting 3 months from the first day of the last menstrual period and adding 7
days.
A nurse at a clinic is preparing to teach the process of involution to a group of antenatal clients. Which of
the following information should the nurse provide?
- Correct Answer-D. The fundus is not palpable abdominally at 2 weeks postpartum.
Involution is the return of the uterus to its normal pre-pregnancy state, which occurs after the delivery of
the placenta. By the end of the third stage of labor, the fundus is 2 cm below the umbilicus. With
12vhours after delivery, the fundus rises 1 cm above the umbilicus. The fundus descends 1 to 2 cm every
24 hours. The fundus is not palpable after the sixth postpartum day.
, 4|Page
A nurse is providing teaching about formula feeding to the guardian of a newborn. Which of the following
pieces of information should the nurse include?
- Correct Answer-B. Mix 1 scoop of powdered formula with 2 oz water.
The guardian should use sterile water or water that has been boiled for 2 minutes when mixing powdered
formula. The guardian should mix 1 scoop in 2 oz water.
A nurse is teaching a client who is breastfeeding about strategies for preventing mastitis. Which of the
following instructions should the nurse include?
- Correct Answer-D. Use your finger to release suction after feeding.
Releasing the newborn's grasp on the nipple with a finger before removing the newborn from the breast
helps prevent injury to the nipple's, which can led to mastitis.
A nurse is caring for a client who has oligohydraminios. What fetal anomalies should the nurse expect?
a. renal agenesis
b. atrial septal defect
c. spina bifida
d. hydrocephalus
- Correct Answer-a. renal agenesis
A nurse is assessing a client who is at 37 wks gestation and has a suspected pelvic fracture due to blunt
abd trauma. What findings should the nurse expect?
a. uterine contractions
b. bradycardia
c. seizures
d. bradypnea
- Correct Answer-a. uterine contractions
